Harman Health Workshop Booking Request Form

Harman Health Workshop Booking Request Form

I'd love to host your next nutrition workshop! Fill out this form to formally request your booking.
Contact Name*

First NameLast Name
Company*
Phone Number*
E-mail*
example@example.com
Requested Workshop Date & Time*

DayMonthYear
Date
Hour MinutesAM/PM Option
Estimated Number of Attendees*
Workshop Topic/s*
Please let me know what you want your workshop to cover:*
Company Objective*
Let me know why you're running this workshop so I can tailor it accordingly.
Type of Workshop*
Full name of contact person who will be online on the day:*
Would they like to introduce the workshop over Zoom?*

YesNo
Full name of contact person who will be present on the day:*
Please list available AV equipment on-site:*
e.g. projector, adaptors, remotes
Address of Workshop Location:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is the contact person listed above the same person to send your invoices to?*

YesNo
Full Name:*
Phone Number*
E-mail*
example@example.com
Please check that you are aware of the workshop fee. A 50% deposit is required for your booking, and the remaining 50% is due 1 business day prior to your workshop date.

Yes, I am aware of costs and payment requirements.
Additional Comments or Information
Should be Empty: